# KWASNIEWSKI ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORNWELL DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659361640
- **Authorized official:** ROBERT KWASNIEWSKI (PRESIDENT)
- **Authorized official phone:** (605) 345-3351

## Contact information

- **Practice address:** 701 MAIN ST, WEBSTER, SD 57274-1305
- **Practice address phone:** (605) 345-3351
- **Practice address fax:** (605) 345-3201
- **Mailing address:** PO BOX 490, WEBSTER, SD 57274-0490
- **Mailing address phone:** (605) 345-3351
- **Mailing address fax:** (605) 345-3352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1001821 | SD | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2005
- **Last updated:** 12/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2093886 | PK | — |
| 05 | — | 8500742 | — | SD |